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330 Congress St Suite 1 Boston MA 02210-1216 | |
| (617) 261-6440 | |
| (866) 366-8270 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 330 Congress St, Boston, Massachusetts |
| Authorized Official Name and Position | Anton G Andrews (PRESIDENT) |
| Authorized Official Contact | 6178809989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
330 Congress St Suite 1 Boston MA 02210-1216 Ph: (617) 261-6440 | 330 Congress St Suite 1 Boston MA 02210-1216 Ph: (617) 261-6440 |
| NPI Number | 1508194804 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508194804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21388 (Massachusetts) | Primary |
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